ABSTRACT
Objective To understand the situation of congenital defects' in five counties/cities in Gansu province so as to provide scientific evidence for the development of effective interventions.Methods General imformaton was collected on all the neonates who were born in Dunhuang city,Jingchuan county,Hui county,Weiyuan county and Yongjing county in Gansu province between Oct.1st,2009 to Sep.304th,2010,with all of their gestational age above 28 weeks.Neonates would include live birth,dead fetus and still birth.Results The overall incidence of congenital defects was 7.49‰ in the five counties/cities in Gansu province in 2009.Ranking order in the top three showed as congenital heart disease,pigmented nevus and limb deformity.Disease with the highest mortality was congenital heart disease (0.79‰).The incidence of congenital defects was 8.35‰ in 2010 with the ranking order of the top three as congenital heart disease,neural tube defects/pigmented nevus and hydrocephalus.Diseases having the highest mortality was congenital heart disease (1.10‰o).Different incidence rates on congenital defects were seen in realted areas,with the highest incidence as 14.65‰ in Dunhuang city.Hui county had the lowest incidence—3.28‰.Conclusion Different incidence of congenital defects were seen in respective areas in Gansu province,with the change of ranking orders.Different strategies should be developed differently depending on the current states of congenital defects in respective areas,according to the three-grade prevention model,to reduce the occurrence of congenital defects.
ABSTRACT
Objective To study the effect of application of comprehensive intervention model in the three-grade prevention for metabolic syndrome(MS). Methods 180 cases of patients diagnosed as MS were chosen in our hospital from January to June 2005,and divided randomly into the experimental group and the control group with 90 cases in each group. The control group received routine general health education intervention, but not related strengthened management and intervention, the experimental group adopted an integrated management approach, to establish a model of co- management included health care workers, patients and their families. Two groups were observed in patients' knowledge, self-management level, medical compliance and various indicators, then analyzed the incidence of cardio - cerebral vascular events after intervention. Results Knowledge, self-management level, medical compliance and related indicators of patients, and the incidence of cardio-cerebral vascular events after intervention were significant between the two groups. Conclusions Comprehensive intervention model can improve the patients' health knowledge attitudes, self-management level and the metabolic function. It can reduce the cardio-cerebral vascular accidents, improve the quality of life, and has a high economic and social value, so is worth promoting.